HomeMy WebLinkAbout192173 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
o ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $1,703.03
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
ANDERSON IN 46016 -3524
CHECK NUMBER: 192173
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 223867 1,703.03 OTHER EXPENSES
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1415 FAIRVIEW ST.
ANDERSON IN 46016 -3524
PHONE (765) 649 -5577
QUALITY SINCE 1958 FAX: (765) 641 1555
INVOICE
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CITY. B.O. DESCRIPTION I UNIT PRICE AMOUNT
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TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS. �1 ►n {1 TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. l 1 i I k
1'/.% PER MONTH OR 18% ANNUAL SERVICE CHARGE FOR ALL INVOICES OVER 30 DAYS. IOTA
MOFAB, INC. IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE FURNISH WITH RESPECT TO THE USE OF MATERIAL V �l
IS GIVEN WITHOUT CHARGE, AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS Q
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK.
THANK YOU FOR T
HIS WE L
RECEIVED' THE ABO E IN GOOD CONDITION I
DATE
PACKING SLIP
VOUCHER 103336 WARRANT ALLOWED
351019 IN SUM OF
MOFAB INC. aPER�4 R
14.15 FAIRVIEW STREET
ANDERSON, IN 46016 -3524
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
223867 01- 6200 -04 $1,703.03
Voucher Total $1,703.03
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, Kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351019
MOFAB INC. Purchase Order No.
1415 FAIRVIEW STREET Terms
ANDERSON, IN 46016 -3524 Due Date 11/17/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/201( 223867 $1,703.03
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
I �1
Date Officer